Sunnyside Medical Clinic LLC
NPI 1407362395 · Primary Care Clinic/Center · Kailua, HI
Sunnyside Medical Clinic LLC is a Primary Care Clinic/Center organization in Kailua, HI (NPI 1407362395).
Provider details
- NPI number
- 1407362395
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Shanks, Owner(808) 825-0190
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 84-740 Kili DrWaianae, HI 96792-1509Phone: (808) 825-0190
Registry dates
- Enumerated
- 2017-12-14
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Frequently asked questions
- What is Sunnyside Medical Clinic LLC's NPI number?
- Sunnyside Medical Clinic LLC's National Provider Identifier (NPI) is 1407362395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunnyside Medical Clinic LLC?
- Sunnyside Medical Clinic LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sunnyside Medical Clinic LLC located?
- Sunnyside Medical Clinic LLC's practice location on file with NPPES is 1005 Keolu Dr Ste a, Kailua, HI 96734-3873.
- What is Sunnyside Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Sunnyside Medical Clinic LLC is (808) 727-1715.
- Who is the authorized official for Sunnyside Medical Clinic LLC?
- The authorized official listed on Sunnyside Medical Clinic LLC's NPPES record is Michelle Shanks, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunnyside Medical Clinic LLC's NPI active?
- Yes — Sunnyside Medical Clinic LLC's NPI (1407362395) is active in the NPPES registry as of the last update on 2019-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.